Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Emily Camille Ellis, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1801401237

Emily Camille Ellis, FNP-BC is a Nurse Practitioner in Warren, Michigan. Qualified in 2020, 6 years ago. Practices as a sole proprietor. Licensed in Michigan.

Years since qualifying
6
Licensed in
MI
In the registry since
2020
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

5350 Christi Dr
Warren, MI 48091-4195
Phone: (616) 516-1351
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 4704329116 (MI)

Record details

NPI number1801401237
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorYes
NPI enumeratedSeptember 11, 2020
Last updated in NPPESNovember 26, 2020
Certification dateNovember 26, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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